Spinal manipulation is a therapeutic technique used primarily by chiropractors and some physical therapists. It involves applying controlled force to specific joints in the spine to improve alignment, mobility, and function. This technique aims to relieve pain, reduce muscle tension, and enhance overall physical performance. The process typically includes a physical examination and assessment of the patient's condition. Spinal manipulation can be performed using hands or specialized instruments, and it may involve various techniques, such as high-velocity low-amplitude thrusts or gentle stretching. It is often used to treat conditions like back pain, neck pain, and headaches.